DAVID THOMAS TAYLOR DPM - Podiatrist License in Illinois | # 135000412

DAVID THOMAS TAYLOR DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000412

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

THOMAS

Last Name

TAYLOR

Suffix

DPM

Business Name

DAVID THOMAS TAYLOR DPM

Original Issue Date

05/28/1999

Effective Date

05/28/1999

Expiration Date

06/30/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006